C-Section Rates On The Rise

On Wednesday, Reuters reported on a study published in the American Journal of Obstetrics & Gynecology that examined the possible reasons for the increase of the number of women giving birth by caesarean section. The 1 in 5 rate of women giving birth by c-section in the mid 1990s has risen to 1 in 3 as of 2008

After looking through over 200,000 records of women who gave birth by c-section, researchers believe that a cause of this increase could be that women are switching to a caesarean section regardless if there is a medical cause. Doctors are also performing c-sections sooner than recommended.

 
In addition, c-sections were more prominent in mothers over 35 years old in comparison to younger mothers. Researchers observed that women who had c-sections for their first birth were likely to have them again for following births.
 
Both Dr. Marian MacDorman of Centers for Disease Control and Prevention in Atlanta and Dr. Mark Landon of Ohio State University College of Medicine think that doctors may be “intervening too soon and not allowing an adequate period of labor” before performing a c-section. MacDorman, who was not involved in the study, said, “Maybe doctors are more comfortable doing caesareans more regularly.”
 
A c-section is necessary in many births, but it poses needless health risks for both the mother and baby if performed unnecessarily. MacDorman said that there is evidence that babies are more likely to develop breathing problems and mothers are at a higher risk for future pregnancy problems. Furthermore, researcher Jun Zhang said that mothers are at a risk for bowel and bladder injury or requiring a hysterectomy. Additionally, the price tag of an average caesarean section is 5,000USD more than an average vaginal birth.
 
Researchers believe that aiming at educating first-time mothers in when a c-section is necessary is a key step in diminishing the climbing rate of c-sections.
 
Photo by mahalie of Flickr.

 

Re: C-Section Rates On The Rise

Oh how typical!! I like the bulk of the article. But any news person will tell you the last line leaves the most lasting impression. Look at that last line- Now why did they do that, when that's not what they said in the article at all? That last line leaves one with the impression that C Sections are a "Demand problem" not a "supplier problem"

In asia, sure it's no secret that *some* women have Elective C Sections for no good reason. But the VAST majority of unnecessary Sections are due to the physiologically UNSUPPORTIVE environment and birthing conditions in hospitals. The Medical profession seems to totally have forgotten the basic needs of the laboring woman. Most doctors no longer have any knowledge of how to "do" natural birth. They Joke around, Question, Poke, Prod, Invade, Intervene, Cut, Reposition mama for their own convenience and often (maybe unwittingly but almost certainly unnecessarily) Scare the Bejeezus out of moms by reacting with anxiety to every blip on those damn machines they insist on using rather than listen with a fetoscope over a longer time interval (that takes clinical skills, wisdom and judgement- ahem, maybe in our sue-happy culture, fear of lawsuits also comes into play).

But even before that, or if you're lucky and your doc isn't "one of those" then the bright lights, constant stream of personnel and strangers coming and going, and hammering a mama with information, questions, choices etc. interfere MAJORLY with the production of normal and essential labor hormones.

The job of the laboring woman, and everyone around her is to DECREASE THE NEOCORTICAL brain activity and INCREASE the old brain activity. It should be a quiet, dim, warm, supportive and, well, maybe sacred environment. Helpers should be close, and comforting, but silently attentive. Don't ask her if she wants a drink--bring it already. Let mom go into laborland. That's where she needs to be to get this job done.

Liora Pearlman
Moderator, Beiing Organic Consumers' Association (BOCA)
http://health.groups.yahoo.com/group/beijing_organic_consumers